Staged left ventricular assist device reimplantation via the left anterior wall approach for a patient with severe pump pocket infection

Ryo Kawasumi; Takuji Kawamura; Daisuke Yoshioka; Masashi Kawamura; Ryohei Matsuura; Koichi Toda; Shigeru Miyagawa

doi:10.1111/aor.14545

Staged left ventricular assist device reimplantation via the left anterior wall approach for a patient with severe pump pocket infection

Artif Organs. 2023 Jul;47(7):1223-1225. doi: 10.1111/aor.14545. Epub 2023 Apr 28.

Authors

Ryo Kawasumi¹, Takuji Kawamura¹, Daisuke Yoshioka¹, Masashi Kawamura¹, Ryohei Matsuura¹, Koichi Toda¹, Shigeru Miyagawa¹

Affiliation

¹ Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Japan.

PMID: 37114775
DOI: 10.1111/aor.14545

Abstract

Pump pocket infection (PPI) is a refractory condition that can cause lethal complications in patients with a left ventricular assist device (LVAD). We report a case of PPI after LVAD implantation for ischemic cardiomyopathy that was successfully treated with staged pump reimplantation into the left ventricular anterior wall with the pedicled omental transfer. Major modification of the pump implantation site might be a useful strategy for local infection control of severe PPI.

Keywords: left ventricular assist device; omentopexy; pump exchange; pump pocket infection.

Publication types

Case Reports

MeSH terms

Heart Failure* / etiology
Heart Failure* / surgery
Heart Transplantation*
Heart-Assist Devices* / adverse effects
Humans
Myocardial Ischemia* / etiology
Omentum
Retrospective Studies